164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf

Submission: Each proposal must contain: Name, qualifications and experience of principal who will oversee the relationship, Name and qualifications of any other individual who may assist the principal in #1 above. Fee schedule, Statement of Availability to perform work outlined in the Scope of Services. Copy of Business Registration Certificate. Copies of other required disclosure information. AYEYN ES 3. SELECTION CRITERIA The Mayor and Council reserve the right to reject any or all proposals. Selection will be based on the following criteria, in order of rank: Qualifications of the primary principal and support staff. General experience-of the firm. Experience with communities the size and complexity of West Orange. Familiarity with West Orange, Essex County and the State of New Jersey. Fee. vee No 4. HISTORICAL DATA Attached hereto as Attachment “A” are partially redacted reports representing historical data from 2016 through 2021 for Managed Care Payments, Provider Payments and Bill Review Fees. The Claimants names have been removed. Please note that the “check date” provided in the “Provider Payment” Schedule is within sixty (60) days of the processing date by the Third-Party Administrator or its medical bill repricing service and each payment represents a single bill processed and paid. Summary of Number paid: 2016 — 132 2017 — 259 2018 ~- 337 2019 - 572 2020 — 579 2021-318 Total — 2,197 Total 5 years only (2017 — 2021) - 2,065 ne